| NPI | 1720753940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 221453) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 221453) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 221453) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-07-13 |